Organization Active NPI

Allen Family Living, Inc.

  • Community/Behavioral Health Agency
  • Cherryville, NC
National Provider Identifier
1376612952
Registry record updated Oct 23, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
ALLEN FAMILY LIVING, INC.
Practice address
304 Lakeview Rd
Cherryville, NC 28021-8603
Phone
(704) 445-8261
Fax
(704) 445-8261
NPI assigned
Nov 7, 2006
Last updated
Oct 23, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 23, 2018

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mary Allen
Title
Vice President
Phone
(704) 445-8261

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

304 Lakeview Rd
Cherryville, NC 28021-8603

Mailing address

304 Lakeview Rd
Cherryville, NC 28021-8603
Phone (704) 445-8261

Other identifiers 1

IdentifierTypeStateIssuer
3409596MedicaidNC

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1162857600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1540252800000",
    "number": "1376612952",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "304 LAKEVIEW RD",
            "city": "CHERRYVILLE",
            "state": "NC",
            "postal_code": "280218603",
            "telephone_number": "704-445-8261",
            "fax_number": "704-445-8261"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "304 LAKEVIEW RD",
            "city": "CHERRYVILLE",
            "state": "NC",
            "postal_code": "280218603",
            "telephone_number": "704-445-8261",
            "fax_number": "704-445-8261"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALLEN FAMILY LIVING, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-07",
        "last_updated": "2018-10-23",
        "status": "A",
        "authorized_official_last_name": "ALLEN",
        "authorized_official_first_name": "MARY",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "704-445-8261"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3409596",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cherryville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.